Online Adoption Application

Adoption Application

Animal you are interested in adopting
Applicant's First Name *
Applicant's Last Name *
Date of Birth *
Are you a Canadian permanent resident? *
Please attach valid photo ID *
I consent to providing a valid government-issued photo ID solely to verify my identity and the information provided in this adoption application. My information and uploaded ID will be processed and stored through Sheltermanager.com in accordance with its privacy policy. *
Street Address *
Apartment Number (if applicable)
City *
Phone Number * Please use the following format 248-555-1212
Email Address * Please enter correctly as this is the main way we will contact you
Confirm email
Employment Status *
If you are employed, what is your current occupation?
Name of Employer / Source of Income * If you chose "other" above, please explain:
Including yourself, how many people live in your household? *
Please list the ages & relationship of those who live in your home. *
Does anyone in your household have allergies to dogs/cats? *
Is everyone in your household aware that you are planning to adopt a pet? *
Have you applied anywhere else for a pet? *
If yes, where else have you applied for a pet?
Is this pet for you or someone else? *
Do you currently have other pets in your home? *
If yes, please list their names, breeds, and ages.
Are all of your pets spayed/neutered/fixed? *
How many pets have you owned in the last 5-10 years? *
What happened to them? *
Are your pets current on their vaccinations? *
Have you ever turned your dog or cat into a shelter? *
If yes, please explain?
Veterinarian's Name & Contact Info If you have never owned a pet please tell us where you would go.
Have you ever had a pet euthanized? *
If yes, please explain:
How do you feel about having pets spayed/neutered? *
Are you familiar with heartworm and heartworm prevention? *
If you have pets, what would happen if they do not adjust to the new cat in the house? *
Please tell us the main reason why you want to adopt a cat(s) *
Please describe in detail the pet you are looking for.
Do you own or rent your home? *
Please select your current residence type. *
If you answered "other" above, please explain here:
If you rent, does your landlord and lease allow pets? *
On average, how many hours per day will your pet be left alone? *
Will this cat(s) be indoors, outdoors, or both? *
Please provide a description of this pet's living conditions. *
Where will the cat(s) sleep? *
Have you ever been convicted of abuse or neglect of a child or animal? *
If yes, please explain:
What arrangements will you make for the care of your cat(s) in case of an emergency? *
If you answered "other" above, please explain:
What will you do with the cat(s) when you go on vacation? *
If you answered "other" above, please explain:
For what reason(s) would you consider returning/giving up the cat(s)? *
What would you do with your cat(s) if you had to move? *
If you answered "other" above, please explain:
Are you willing to take responsibility for this animal for the next 10-20 years? *
If no, please explain:
Will you allow us to perform home checks? *
Reference * Please provide us with a reference, relationship to you, and contact information
I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. I am authorizing you to contact landlords, associations and veterinarians. You are also aware that we cannot guarantee the health and temperament of the animal. *
The Spay Day HRM Society receives food sponsorship from Royal Canin for our rescued cats & kittens. They also sponsor the adoption kit you will receive with a cat/kitten in exchange for your contact information. You can unsubscribe any time. Check the box if you agree to receive email from Royal Canin with information and special offers *
Please sign *